ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual |
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| MDC 21 Injuries, Poisonings and Toxic Effects of Drugs |
| Other O.R. Procedures for Injuries |
| Page 46 of 76 |
OPERATING ROOM PROCEDURES (continued)
0016070 00D04ZZ 00RG0KZ 00XJ4ZR 01HY0MZ 021Q48A 02QW4ZZ 03140KW 037L36Z 03L34DZ 03R80KZ 03VD0DZ 041C4KH 047A35Z 04HN0DZ 04QK4ZZ 04UH0JZ 055G4ZZ 05LD4ZZ 05U107Z 06H54DZ 06S00ZZ 07130Z4 07LJ4ZZ 07VB4CZ 08NM0ZZ 08UY7KZ 0B9C0ZZ 0BTK4ZZ 0CRV0KZ 0D18874 0D1H4JH 0D9F40Z 0DMA4ZZ 0DS58ZZ 0DV10CZ 0DWD82Z 0FBF0ZX 0FT20ZZ 0HDV0ZZ 0JHS01Z 0K5T0ZZ 0KMG0ZZ 0KU00KZ 0L9B40Z 0LQT3ZZ 0LUS07Z 0MCC3ZZ 0N5Q0ZZ 0NRT3KZ 0PBH0ZZ 0PP204Z 0PRG47Z 0Q544ZZ 0QH807Z 0QP937Z 0QRK4JZ 0QU907Z 0RG407J 0RP30JZ 0RUH3KZ 0SB34ZZ 0SGL07Z 0SPF3KZ 0SRV0J9 0SWL45Z 0T9780Z 0TR67KZ 0UF77ZZ 0VPD0KZ 0W193JB 0WPC4GZ 0X320ZZ 0XUT4JZ 0YHJ41Z XRGC4R7
| 0LQT3ZZ | Repair Left Ankle Tendon, Percutaneous Approach |
| 0LQT4ZZ | Repair Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LQV0ZZ | Repair Right Foot Tendon, Open Approach |
| 0LQV3ZZ | Repair Right Foot Tendon, Percutaneous Approach |
| 0LQV4ZZ | Repair Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LQW0ZZ | Repair Left Foot Tendon, Open Approach |
| 0LQW3ZZ | Repair Left Foot Tendon, Percutaneous Approach |
| 0LQW4ZZ | Repair Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LR007Z | Replacement of Head and Neck Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR00JZ | Replacement of Head and Neck Tendon with Synthetic Substitute, Open Approach |
| 0LR00KZ | Replacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR047Z | Replacement of Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR04JZ | Replacement of Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR04KZ | Replacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR107Z | Replacement of Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR10JZ | Replacement of Right Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LR10KZ | Replacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR147Z | Replacement of Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR14JZ | Replacement of Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR14KZ | Replacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR207Z | Replacement of Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR20JZ | Replacement of Left Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LR20KZ | Replacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR247Z | Replacement of Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR24JZ | Replacement of Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR24KZ | Replacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR307Z | Replacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR30JZ | Replacement of Right Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LR30KZ | Replacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR347Z | Replacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR34JZ | Replacement of Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR34KZ | Replacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR407Z | Replacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR40JZ | Replacement of Left Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LR40KZ | Replacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR447Z | Replacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR44JZ | Replacement of Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR44KZ | Replacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR507Z | Replacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR50JZ | Replacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LR50KZ | Replacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR547Z | Replacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR54JZ | Replacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR54KZ | Replacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR607Z | Replacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR60JZ | Replacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LR60KZ | Replacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR647Z | Replacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR64JZ | Replacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR64KZ | Replacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR907Z | Replacement of Right Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LR90JZ | Replacement of Right Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LR90KZ | Replacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LR947Z | Replacement of Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LR94JZ | Replacement of Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LR94KZ | Replacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRB07Z | Replacement of Left Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRB0JZ | Replacement of Left Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LRB0KZ | Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRB47Z | Replacement of Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRB4JZ | Replacement of Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRB4KZ | Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRC07Z | Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRC0JZ | Replacement of Right Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LRC0KZ | Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRC47Z | Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRC4JZ | Replacement of Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRC4KZ | Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRD07Z | Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRD0JZ | Replacement of Left Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LRD0KZ | Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRD47Z | Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRD4JZ | Replacement of Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRD4KZ | Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRF07Z | Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRF0JZ | Replacement of Right Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LRF0KZ | Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRF47Z | Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRF4JZ | Replacement of Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRF4KZ | Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRG07Z | Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRG0JZ | Replacement of Left Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LRG0KZ | Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRG47Z | Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRG4JZ | Replacement of Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRG4KZ | Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRH07Z | Replacement of Perineum Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRH0JZ | Replacement of Perineum Tendon with Synthetic Substitute, Open Approach |
| 0LRH0KZ | Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRH47Z | Replacement of Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRH4JZ | Replacement of Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRH4KZ | Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRJ07Z | Replacement of Right Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRJ0JZ | Replacement of Right Hip Tendon with Synthetic Substitute, Open Approach |
| 0LRJ0KZ | Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRJ47Z | Replacement of Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRJ4JZ | Replacement of Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRJ4KZ | Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRK07Z | Replacement of Left Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRK0JZ | Replacement of Left Hip Tendon with Synthetic Substitute, Open Approach |
| 0LRK0KZ | Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRK47Z | Replacement of Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRK4JZ | Replacement of Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRK4KZ | Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRL07Z | Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRL0JZ | Replacement of Right Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRL0KZ | Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRL47Z | Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRL4JZ | Replacement of Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRL4KZ | Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRM07Z | Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRM0JZ | Replacement of Left Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRM0KZ | Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRM47Z | Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRM4JZ | Replacement of Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRM4KZ | Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRN07Z | Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRN0JZ | Replacement of Right Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRN0KZ | Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRN47Z | Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRN4JZ | Replacement of Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRN4KZ | Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRP07Z | Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRP0JZ | Replacement of Left Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRP0KZ | Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRP47Z | Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRP4JZ | Replacement of Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRP4KZ | Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRQ07Z | Replacement of Right Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRQ0JZ | Replacement of Right Knee Tendon with Synthetic Substitute, Open Approach |
| 0LRQ0KZ | Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRQ47Z | Replacement of Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRQ4JZ | Replacement of Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRQ4KZ | Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRR07Z | Replacement of Left Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRR0JZ | Replacement of Left Knee Tendon with Synthetic Substitute, Open Approach |
| 0LRR0KZ | Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRR47Z | Replacement of Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRR4JZ | Replacement of Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRR4KZ | Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRS07Z | Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRS0JZ | Replacement of Right Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LRS0KZ | Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRS47Z | Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRS4JZ | Replacement of Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRS4KZ | Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRT07Z | Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRT0JZ | Replacement of Left Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LRT0KZ | Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRT47Z | Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRT4JZ | Replacement of Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRT4KZ | Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRV07Z | Replacement of Right Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRV0JZ | Replacement of Right Foot Tendon with Synthetic Substitute, Open Approach |
| 0LRV0KZ | Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRV47Z | Replacement of Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRV4JZ | Replacement of Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRV4KZ | Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRW07Z | Replacement of Left Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRW0JZ | Replacement of Left Foot Tendon with Synthetic Substitute, Open Approach |
| 0LRW0KZ | Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRW47Z | Replacement of Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRW4JZ | Replacement of Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRW4KZ | Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LS00ZZ | Reposition Head and Neck Tendon, Open Approach |
| 0LS04ZZ | Reposition Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LS10ZZ | Reposition Right Shoulder Tendon, Open Approach |
| 0LS14ZZ | Reposition Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LS20ZZ | Reposition Left Shoulder Tendon, Open Approach |
| 0LS24ZZ | Reposition Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LS30ZZ | Reposition Right Upper Arm Tendon, Open Approach |
| 0LS34ZZ | Reposition Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LS40ZZ | Reposition Left Upper Arm Tendon, Open Approach |
| 0LS44ZZ | Reposition Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LS50ZZ | Reposition Right Lower Arm and Wrist Tendon, Open Approach |
| 0LS54ZZ | Reposition Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LS60ZZ | Reposition Left Lower Arm and Wrist Tendon, Open Approach |
| 0LS64ZZ | Reposition Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LS90ZZ | Reposition Right Trunk Tendon, Open Approach |
| 0LS94ZZ | Reposition Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LSB0ZZ | Reposition Left Trunk Tendon, Open Approach |
| 0LSB4ZZ | Reposition Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LSC0ZZ | Reposition Right Thorax Tendon, Open Approach |
| 0LSC4ZZ | Reposition Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LSD0ZZ | Reposition Left Thorax Tendon, Open Approach |
| 0LSD4ZZ | Reposition Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LSF0ZZ | Reposition Right Abdomen Tendon, Open Approach |
| 0LSF4ZZ | Reposition Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LSG0ZZ | Reposition Left Abdomen Tendon, Open Approach |
| 0LSG4ZZ | Reposition Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LSH0ZZ | Reposition Perineum Tendon, Open Approach |
| 0LSH4ZZ | Reposition Perineum Tendon, Percutaneous Endoscopic Approach |
| 0LSJ0ZZ | Reposition Right Hip Tendon, Open Approach |
| 0LSJ4ZZ | Reposition Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0LSK0ZZ | Reposition Left Hip Tendon, Open Approach |
| 0LSK4ZZ | Reposition Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0LSL0ZZ | Reposition Right Upper Leg Tendon, Open Approach |
| 0LSL4ZZ | Reposition Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSM0ZZ | Reposition Left Upper Leg Tendon, Open Approach |
| 0LSM4ZZ | Reposition Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSN0ZZ | Reposition Right Lower Leg Tendon, Open Approach |
| 0LSN4ZZ | Reposition Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSP0ZZ | Reposition Left Lower Leg Tendon, Open Approach |
| 0LSP4ZZ | Reposition Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSQ0ZZ | Reposition Right Knee Tendon, Open Approach |
| 0LSQ4ZZ | Reposition Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0LSR0ZZ | Reposition Left Knee Tendon, Open Approach |
| 0LSR4ZZ | Reposition Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0LSS0ZZ | Reposition Right Ankle Tendon, Open Approach |
| 0LSS4ZZ | Reposition Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LST0ZZ | Reposition Left Ankle Tendon, Open Approach |
| 0LST4ZZ | Reposition Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LSV0ZZ | Reposition Right Foot Tendon, Open Approach |
| 0LSV4ZZ | Reposition Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LSW0ZZ | Reposition Left Foot Tendon, Open Approach |
| 0LSW4ZZ | Reposition Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LT00ZZ | Resection of Head and Neck Tendon, Open Approach |
| 0LT04ZZ | Resection of Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LT10ZZ | Resection of Right Shoulder Tendon, Open Approach |
| 0LT14ZZ | Resection of Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LT20ZZ | Resection of Left Shoulder Tendon, Open Approach |
| 0LT24ZZ | Resection of Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LT30ZZ | Resection of Right Upper Arm Tendon, Open Approach |
| 0LT34ZZ | Resection of Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LT40ZZ | Resection of Left Upper Arm Tendon, Open Approach |
| 0LT44ZZ | Resection of Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LT50ZZ | Resection of Right Lower Arm and Wrist Tendon, Open Approach |
| 0LT54ZZ | Resection of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LT60ZZ | Resection of Left Lower Arm and Wrist Tendon, Open Approach |
| 0LT64ZZ | Resection of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LT90ZZ | Resection of Right Trunk Tendon, Open Approach |
| 0LT94ZZ | Resection of Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LTB0ZZ | Resection of Left Trunk Tendon, Open Approach |
| 0LTB4ZZ | Resection of Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LTC0ZZ | Resection of Right Thorax Tendon, Open Approach |
| 0LTC4ZZ | Resection of Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LTD0ZZ | Resection of Left Thorax Tendon, Open Approach |
| 0LTD4ZZ | Resection of Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LTF0ZZ | Resection of Right Abdomen Tendon, Open Approach |
| 0LTF4ZZ | Resection of Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LTG0ZZ | Resection of Left Abdomen Tendon, Open Approach |
| 0LTG4ZZ | Resection of Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LTH0ZZ | Resection of Perineum Tendon, Open Approach |
| 0LTH4ZZ | Resection of Perineum Tendon, Percutaneous Endoscopic Approach |
| 0LTJ0ZZ | Resection of Right Hip Tendon, Open Approach |
| 0LTJ4ZZ | Resection of Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0LTK0ZZ | Resection of Left Hip Tendon, Open Approach |
| 0LTK4ZZ | Resection of Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0LTL0ZZ | Resection of Right Upper Leg Tendon, Open Approach |
| 0LTL4ZZ | Resection of Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTM0ZZ | Resection of Left Upper Leg Tendon, Open Approach |
| 0LTM4ZZ | Resection of Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTN0ZZ | Resection of Right Lower Leg Tendon, Open Approach |
| 0LTN4ZZ | Resection of Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTP0ZZ | Resection of Left Lower Leg Tendon, Open Approach |
| 0LTP4ZZ | Resection of Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTQ0ZZ | Resection of Right Knee Tendon, Open Approach |
| 0LTQ4ZZ | Resection of Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0LTR0ZZ | Resection of Left Knee Tendon, Open Approach |
| 0LTR4ZZ | Resection of Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0LTS0ZZ | Resection of Right Ankle Tendon, Open Approach |
| 0LTS4ZZ | Resection of Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LTT0ZZ | Resection of Left Ankle Tendon, Open Approach |
| 0LTT4ZZ | Resection of Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LTV0ZZ | Resection of Right Foot Tendon, Open Approach |
| 0LTV4ZZ | Resection of Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LTW0ZZ | Resection of Left Foot Tendon, Open Approach |
| 0LTW4ZZ | Resection of Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LU007Z | Supplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU00JZ | Supplement Head and Neck Tendon with Synthetic Substitute, Open Approach |
| 0LU00KZ | Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU047Z | Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU04JZ | Supplement Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU04KZ | Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU107Z | Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU10JZ | Supplement Right Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LU10KZ | Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU147Z | Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU14JZ | Supplement Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU14KZ | Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU207Z | Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU20JZ | Supplement Left Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LU20KZ | Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU247Z | Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU24JZ | Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU24KZ | Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU307Z | Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU30JZ | Supplement Right Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LU30KZ | Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU347Z | Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU34JZ | Supplement Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU34KZ | Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU407Z | Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU40JZ | Supplement Left Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LU40KZ | Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU447Z | Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU44JZ | Supplement Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU44KZ | Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU507Z | Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU50JZ | Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LU50KZ | Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU547Z | Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU54JZ | Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU54KZ | Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU607Z | Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU60JZ | Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LU60KZ | Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU647Z | Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU64JZ | Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU64KZ | Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU907Z | Supplement Right Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU90JZ | Supplement Right Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LU90KZ | Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU947Z | Supplement Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU94JZ | Supplement Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU94KZ | Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUB07Z | Supplement Left Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUB0JZ | Supplement Left Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LUB0KZ | Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUB47Z | Supplement Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUB4JZ | Supplement Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUB4KZ | Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUC07Z | Supplement Right Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUC0JZ | Supplement Right Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LUC0KZ | Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUC47Z | Supplement Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUC4JZ | Supplement Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUC4KZ | Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUD07Z | Supplement Left Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUD0JZ | Supplement Left Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LUD0KZ | Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUD47Z | Supplement Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUD4JZ | Supplement Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUD4KZ | Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUF07Z | Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUF0JZ | Supplement Right Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LUF0KZ | Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUF47Z | Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUF4JZ | Supplement Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUF4KZ | Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUG07Z | Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUG0JZ | Supplement Left Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LUG0KZ | Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUG47Z | Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUG4JZ | Supplement Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUG4KZ | Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUH07Z | Supplement Perineum Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUH0JZ | Supplement Perineum Tendon with Synthetic Substitute, Open Approach |
| 0LUH0KZ | Supplement Perineum Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUH47Z | Supplement Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUH4JZ | Supplement Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUH4KZ | Supplement Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUJ07Z | Supplement Right Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUJ0JZ | Supplement Right Hip Tendon with Synthetic Substitute, Open Approach |
| 0LUJ0KZ | Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUJ47Z | Supplement Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUJ4JZ | Supplement Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUJ4KZ | Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUK07Z | Supplement Left Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUK0JZ | Supplement Left Hip Tendon with Synthetic Substitute, Open Approach |
| 0LUK0KZ | Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUK47Z | Supplement Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUK4JZ | Supplement Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUK4KZ | Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUL07Z | Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUL0JZ | Supplement Right Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUL0KZ | Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUL47Z | Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUL4JZ | Supplement Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUL4KZ | Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUM07Z | Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUM0JZ | Supplement Left Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUM0KZ | Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUM47Z | Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUM4JZ | Supplement Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUM4KZ | Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUN07Z | Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUN0JZ | Supplement Right Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUN0KZ | Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUN47Z | Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUN4JZ | Supplement Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUN4KZ | Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUP07Z | Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUP0JZ | Supplement Left Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUP0KZ | Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUP47Z | Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUP4JZ | Supplement Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUP4KZ | Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUQ07Z | Supplement Right Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUQ0JZ | Supplement Right Knee Tendon with Synthetic Substitute, Open Approach |
| 0LUQ0KZ | Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUQ47Z | Supplement Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUQ4JZ | Supplement Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUQ4KZ | Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUR07Z | Supplement Left Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUR0JZ | Supplement Left Knee Tendon with Synthetic Substitute, Open Approach |
| 0LUR0KZ | Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUR47Z | Supplement Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUR4JZ | Supplement Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUR4KZ | Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 28 Jan 2026 12:38:39 CMS, code-revision=378, description-revision=1466 |